Associated Orthopedist of Detroit
NPI 1902165566ActiveOrganization· Physical Therapy Assistant· Saint Clair Shores, MI
Physical Therapy Assistant in Saint Clair Shores, Michigan, registered in NPPES in May 2012. The authorized official on file is Jamie Johnson, Credentialing Manager.
Overview
| NPI | 1902165566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2012 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 5502000482 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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